Provider Demographics
NPI:1740169226
Name:DEANGELIS, BARBARA JANE (RN)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:JANE
Last Name:DEANGELIS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6 AGAWAM LAKE SHORE DR
Mailing Address - Street 2:
Mailing Address - City:WAREHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02571-1201
Mailing Address - Country:US
Mailing Address - Phone:401-486-7552
Mailing Address - Fax:508-295-3781
Practice Address - Street 1:3088 CRANBERRY HWY STE A
Practice Address - Street 2:
Practice Address - City:EAST WAREHAM
Practice Address - State:MA
Practice Address - Zip Code:02538-4800
Practice Address - Country:US
Practice Address - Phone:508-295-7990
Practice Address - Fax:401-486-7552
Is Sole Proprietor?:No
Enumeration Date:2025-08-29
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2307313163WA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)